Evidence map›Paper›PMID 26081062›Full record

ArticleEuropean journal of clinical pharmacology2015

Trends in inpatient antiparkinson drug use in the USA, 2001-2012.

James A G Crispo, Yannick Fortin, Dylan P Thibault, Matthew Emons, Lise M Bjerre, Dafna E Kohen, Santiago Perez-Lloret, Donald Mattison, Allison W Willis, Daniel Krewski

Open access · hybridAbstract read
In one paragraph

Article in European journal of clinical pharmacology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
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  6. Anticholinergic drugs for parkinsonism and other movement disorders.Journal of neural transmission (Vienna, Austria : 1996) · 2024
    Review
  7. Article
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  13. Review
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  17. Factors affecting the choice of first-line therapy in Parkinson's disease patients in Wales: A population-based study.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 3 countries.

James A G CrispoMcLaughlin Centre for Population Health Risk Assessment, University of Ottawa, Ottawa, ON, Canada, jcris021@uottawa.ca.
Yannick Fortin
Dylan P Thibault
Matthew Emons
Lise M Bjerre
Dafna E Kohen
Santiago Perez-Lloret
Donald Mattison
Allison W Willis
Daniel Krewski
University of Ottawa · CAUniversity of Pennsylvania · USBruyère · CACerner (United States) · USPontificia Universidad Católica Argentina · AR

Funding

Parkinson Disease Disparities and OutcomesK23NS081087 · NINDS · WASHINGTON UNIVERSITY · PI WILLIS, ALLISON · 2012 to 2015
$669k
NINDS NIH HHS K23 NS081087
6 · The paper itself

Abstract

purposeAlthough therapeutic options and clinical guidelines for Parkinson's disease (PD) have changed significantly in the past 15 years, prescribing trends in the USA remain unknown. The purpose of this population-based cohort study was to examine patterns of inpatient antiparkinson drug use between January 2001 and December 2012 in relation to clinical guideline publication, drug introduction/withdrawal, and emerging safety concerns.

methodsA total of 16,785 inpatients receiving pharmacological treatment for PD were identified in the Cerner Health Facts database. Our primary outcome was standardized (age, sex, race, and census region) annual prevalence of antiparkinson drug use. We also examined antiparkinson medication trends and polypharmacy by age and sex.

resultsThe most frequently prescribed antiparkinson drugs between 2001 and 2012 were levodopa (85%) and dopamine agonists (28%). Dopamine agonist use began declining in 2007, from 34 to 27% in 2012. The decline followed publication of the American Academy of Neurology's practice parameter refuting levodopa toxicity, pergolide withdrawal, and pramipexole label revisions. Despite safety concerns for cognitive impairment and falls, individuals ≥80 years of age demonstrated stable rates of dopamine agonist use from 2001 to 2012. Polypharmacy was most common in younger patients.

conclusionsDopamine agonist use declined from 2007 to 2012, suggesting that increased awareness of safety issues and practice guidelines influenced prescribing. These events appear to have minimally influenced treatment provided to older PD patients. Antiparkinson prescribing trends indicate that safety and best practice information may be communicated effectively.

Indexed as

AdultAgedAged, 80 and overAntiparkinson AgentsCatechol O-Methyltransferase InhibitorsCholinergic AntagonistsDopamine AgonistsDrug UtilizationFemaleHumansInpatientsLevodopaMaleMiddle AgedMonoamine Oxidase InhibitorsParkinson DiseaseAntiparkinson AgentsCatechol O-Methyltransferase InhibitorsCholinergic AntagonistsDopamine AgonistsLevodopaMonoamine Oxidase Inhibitors

Identifiers

PMID26081062
PMCPMC4500853
OpenAlexW571725045

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.